Individual
ALEA MANSOOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMACIST
Contact information
Practice address
1140 OLD COUNTRY RD, RIVERHEAD, NY 11901-2073
(631) 727-9000
Mailing address
954 OTSEGO CT, WEST HEMPSTEAD, NY 11552-3944
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
063409
NY
Other
Enumeration date
10/25/2017
Last updated
10/25/2017
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